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首页> 外文期刊>Critical care nursing quarterly >Pre-hospital discharge planning: empowering elderly patients through choice.
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Pre-hospital discharge planning: empowering elderly patients through choice.

机译：院前出院计划：通过选择赋予老年患者权力。

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摘要

Reductions in the length of stay for acute hospitalization have occurred as a result of Medicare cost containment strategies during the past 20 years. Thus, innovative approaches to the treatment of patients in the acute care hospital setting are necessary, particularly in the practice of discharge planning. The medical literature typically identifies the first day of admission as the time to begin discharge planning in order to minimize the patient's length of stay in the acute care hospital. This strategy has its limitations as elderly patients are often confused by unfamiliar surroundings, surgical anesthesia, postoperative pain, and the rapid pace of hospital recovery typically expected today. Consequently, options for discharge may be limited to the most expedient plan that will ensure safety and continued recovery. This article presents an alternative plan that begins with outpatient education preceding admission and follows the patient throughout the continuum of care including postdischarge.
机译：在过去20年中，由于Medicare成本控制策略，缩短了急性住院时间。因此，在急诊医院环境中必须有创新的方法来治疗患者，特别是在出院计划的实施中。医学文献通常将入院的第一天确定为开始出院计划的时间，以最大程度地减少患者在急诊医院的住院时间。这种策略有其局限性，因为老年患者通常会因不熟悉的环境，手术麻醉，术后疼痛以及今天通常期望的快速医院康复而感到困惑。因此，排放的选择可能仅限于确保安全和持续恢复的最方便的计划。本文提出了一个替代计划，该计划从入院前的门诊教育开始，并在包括出院后在内的整个护理过程中始终跟踪患者。

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